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Contact Information

POTOMAC INTEGRATIVE HEALTH PLLC
207 S PRINCESS STREET
SUITE 11
SHEPHERDSTOWN, WV25443
 Phone: 304-579-4746
 Fax: 304-579-4673
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for POTOMAC INTEGRATIVE HEALTH PLLC

NPI # 1235472523
LBN Legal business name POTOMAC INTEGRATIVE HEALTH PLLC
Authorized official DAVID DIDDEN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/04/2013
Last updated 10/04/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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